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CC BY 4.0 · European J Pediatr Surg Rep. 2024; 12(01): e4-e6
DOI: 10.1055/a-2227-6389
Case Report

Missed Proximal Tracheoesophageal Fistula (TEF) in a Neonate with Type D Esophageal Atresia

Julia E. Menso
1   Department of Pediatric Surgery, Emma's Children's Hospital Amsterdam UMC, location University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
2   Amsterdam Gastroenterology and Metabolism Research Institute, 1105 AZ Amsterdam, The Netherlands
3   Amsterdam Reproduction and Development Research Institute, 1105 AZ Amsterdam, The Netherlands
,
Maud A. Reijntjes
1   Department of Pediatric Surgery, Emma's Children's Hospital Amsterdam UMC, location University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
2   Amsterdam Gastroenterology and Metabolism Research Institute, 1105 AZ Amsterdam, The Netherlands
3   Amsterdam Reproduction and Development Research Institute, 1105 AZ Amsterdam, The Netherlands
,
Matthijs W. Oomen
1   Department of Pediatric Surgery, Emma's Children's Hospital Amsterdam UMC, location University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
,
Rico N.P.M. Rinkel
4   Department of Otolaryngology, Emma's Children's Hospital Amsterdam UMC, location University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
,
Suzanne W.J. Terheggen-Lagro
5   Department of Pediatric Pulmonology, Emma's Children's Hospital Amsterdam UMC, location University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
,
Ramon R. Gorter
1   Department of Pediatric Surgery, Emma's Children's Hospital Amsterdam UMC, location University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
2   Amsterdam Gastroenterology and Metabolism Research Institute, 1105 AZ Amsterdam, The Netherlands
3   Amsterdam Reproduction and Development Research Institute, 1105 AZ Amsterdam, The Netherlands
› Author Affiliations Funding None.
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Erratum: Missed Proximal Tracheoesophageal Fistula (TEF) in a Neonate with Type D Esophageal AtresiaEuropean J Pediatr Surg Rep. 2024; 12(01): e1-e1
DOI: 10.1055/s-0044-1779612

Abstract

We present the case of a patient with the rare type D esophageal atresia (EA), diagnosed after correction of an EA initially diagnosed as type C. Routine postoperative contrast esophagogram showed a missed proximal tracheoesophageal fistula. This case report illustrates the potential difficulties to diagnose type D EA.

Keywords

esophageal atresia - type D - tracheoesophageal fistula - diagnosis

Note

This case report illustrates the potential difficulties to diagnose type D EA. It underscores the value of additional diagnostic tools, such as contrast esophagogram, bronchoscopy, and esophagoscopy, in the assessment of patients with suspicion of a recurrent or missed proximal fistula after initial EA repair.




Publication History

Received: 26 May 2023

Accepted: 10 December 2023

Accepted Manuscript online:
13 December 2023

Article published online:
10 January 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Ardenghi C, Vestri E, Costanzo S. et al. Congenital esophageal atresia long-term follow-up-the pediatric surgeon's duty to focus on quality of life. Children (Basel) 2022; 9 (03) 331
    PubMedGoogle Scholar
  • 2 Pini Prato A, Carlucci M, Bagolan P. et al. A cross-sectional nationwide survey on esophageal atresia and tracheoesophageal fistula. J Pediatr Surg 2015; 50 (09) 1441-1456
    CrossrefPubMedGoogle Scholar
  • 3 Evanovich DM, Wang JT, Zendejas B, Jennings RW, Bajic D. From the ground up: esophageal atresia types, disease severity stratification and survival rates at a single institution. Front Surg 2022; 9: 799052
    CrossrefPubMedGoogle Scholar
  • 4 Piro E, Schierz IAM, Giuffrè M. et al. Etiological heterogeneity and clinical variability in newborns with esophageal atresia. Ital J Pediatr 2018; 44 (01) 19
    CrossrefPubMedGoogle Scholar
  • 5 Parolini F, Boroni G, Stefini S, Agapiti C, Bazzana T, Alberti D. Role of preoperative tracheobronchoscopy in newborns with esophageal atresia: A review. World J Gastrointest Endosc 2014; 6 (10) 482-487
    CrossrefPubMedGoogle Scholar
  • 6 Lal DR, Gadepalli SK, Downard CD. et al; Midwest Pediatric Surgery Consortium. Perioperative management and outcomes of esophageal atresia and tracheoesophageal fistula. J Pediatr Surg 2017; 52 (08) 1245-1251
    CrossrefPubMedGoogle Scholar
  • 7 Karnak I, Senocak ME, Hiçsönmez A, Büyükpamukçu N. The diagnosis and treatment of H-type tracheoesophageal fistula. J Pediatr Surg 1997; 32 (12) 1670-1674
    CrossrefPubMedGoogle Scholar
  • 8 Boybeyi-Turer O, Soyer T. Tracheoesophageal fistula after esophageal atresia repair: recurrent, missed or acquired. Curr Chall Thorac Surg 2022; 4: 26-26
    CrossrefPubMedGoogle Scholar
  • 9 Parolini F, Morandi A, Macchini F. et al. Esophageal atresia with proximal tracheoesophageal fistula: a missed diagnosis. J Pediatr Surg 2013; 48 (06) E13-E17
    CrossrefPubMedGoogle Scholar
  • 10 Guo W, Li Y, Jiao A, Peng Y, Hou D, Chen Y. Tracheoesophageal fistula after primary repair of type C esophageal atresia in the neonatal period: recurrent or missed second congenital fistula. J Pediatr Surg 2010; 45 (12) 2351-2355
    CrossrefPubMedGoogle Scholar
  • 11 Rice-Townsend S, Ramamoorthy C, Dutta S. Thoracoscopic repair of a type D esophageal atresia in a newborn with complex congenital heart disease. J Pediatr Surg 2007; 42 (09) 1616-1619
    CrossrefPubMedGoogle Scholar